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ANTIARRHYTHMICS
Class I-IV. Treat an abnormality in the rhythm of the heart beat.
myocardial conduction.
Class I (I-A I-B)
Usually affects
Cardiac glycoside Digoxin-sometimes given to control heart rate in pts. with A. Fib.
Fewer pts. get digoxin since it can cause toxicity and arrhythmias.
Other treatments:
Cardioversion a synchronized electrical current delivered at levels as low as 50 joules.
Drugs used for chemical cardioversionAccording to 2010 AHA data, out-of-hospital cardiac arrest affects 295,000 people
annually. Less than 7% survive, up to 2/3 suffer neurologic impairment. Therapeutic
hypothermia may help to minimize neurologic injury after cardiac arrest. Cooling pt to
89F to 93F for 12-24 hours.
Defibrillation an unsynchronized countershock delivered at 100-200 joules.
ICDs Implantable Cardiac Defibrilllator
Cardiac Ablation -